Agestrong Holladay Park Plaza

LBN: Rehab Specialists Outpatient Llc
Agestrong Holladay Park Plaza is an health care organization with primary practice located at 1300 Ne 16Th Ave , Portland OR 97232-1467. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Rehabilitation is the primary health care specialty. Rehab Specialists Outpatient Llc can be contacted via phone (503) 288-6671, or through Fogg, Phillip G via phone (971) 206-5200.

Contact Information

Primary practice address
1300 Ne 16Th Ave Portland OR 97232-1467
Phone: (503) 288-6671
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fogg, Phillip G
Phone: (971) 206-5200

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1952075962
LBN Legal business name Rehab Specialists Outpatient Llc
DBA Doing business as Agestrong Holladay Park Plaza
Authorized official Fogg, Phillip G
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2021
Last updated Feb 19th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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